Individual
MR. TONY DEVAUN MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1630 23RD AVE BLDG 2, LEWISTON, ID 83501-6350
(208) 746-7784
(208) 798-8652
Mailing address
1630 23RD AVE, LEWISTON, ID 83501-6350
(208) 746-7784
(208) 798-8652
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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